Claim total
$9,138.21
base $155.66 · payer covered $7,310.57
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2025-06-23
- Stop
- 2025-06-23
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-7d8e-406ce5d51742